April 2024

A listing of the individual articles included in the Jurisdiction F Medicare B News bulletin dated April 2024 is provided. Each article title functions as a hyperlink to a specific article.

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Articles Source
2024 Annual Update of HCPCS Codes for SNF CB Update CR13394
2024 Annual Update of Per-Beneficiary Threshold Amounts CR13371
2024 Annual Update to the Therapy Code List CR13341
2024 CPT/HCPCS Local Coverage Article (LCA) Updates
Additional Self-Service Requirements Effective February 5, 2024
AIF for Calendar Year (CY) 2024 and Productivity Adjustment - Rescinded CR13400
Ambulatory Surgical Center Payment System: January 2024 Update - Revised CR13481
Appropriate Use Criteria for Advanced Diagnostic Imaging: CY 2024 Update CR13485
Billing and Coding: FDA Approved CLL Companion Diagnostic Test (A56013) Retirement - Effective March 30, 2023
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R16 - Effective January 1, 2024
Billing and Coding: Minimal Residual Disease Testing for Hematologic Cancers (A58997) - R5 - Effective January 1, 2024
Billing and Coding: MolDX: DecisionDX-Melanoma (A57418) Retirement - Effective August 8, 2022
Billing and Coding: MolDX: Fragile X (A55242) - R6 - January 1, 2024
Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (A57422) - R10 - Effective January 1, 2024
Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors (A56104) - R5 - Effective January 1, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456) - R6- January 1, 2024
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58724 ) - R3 - Effective March 12, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R16- January 1, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R17 - Effective January 1, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R15 - January 1, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R16 - Effective April 17, 2022
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58170) - R6 - Effective February 29, 2024
Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors (A57905) - R6 - Effective January 1, 2024
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57892) - R7 - Effective January 1, 2024
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R13 - Effective January 25, 2024
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58975) - R4 - Effective January 1, 2024
Billing and Coding: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer (A58187) - R7 - Effective January 1, 2024
Billing and Coding: MolDX: Proteomics Testing (A59642) - Effective January 31, 2024
Billing and Coding: MolDX: Proteomics Testing (A59642) - R1 - Effective January 31, 2024
Billing and Coding: MolDX: Proteomics Testing (A59642) - R2 - Effective January 31, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57332) - R10 - January 1, 2024
Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Next-Generation Sequencing Testing in Cancer (A56518) - R8 - Effective March 21, 2024
Change Healthcare Security Incident - Paper Claim Rejections
Changes to the Laboratory NCD Edit Software: July 2024 Update CR13554
Claims Billed With G0260 and 77002 or 77012 Denying Incorrectly in the ASC - Resolved 01/09/24 Alert
Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update CR13541
Comprehensive Error Rate Testing (CERT) Reviews and Clinical Laboratory Claims
CORRECTION: Leqembi-Related Drug Clinical Trial Number
DMEPOS Fee Schedules and Labor Payment - 2024 Update
eMDR via the Electronic Submission of Medical Documentation System - Revised CR11003
February is Heart Health Month
HCPCS Codes Used for SNF CB Enforcement: April 2024 Quarterly Update CR13501
Health Equity Services
How to Use the Office & Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 CR13473
How to Verify Claim Denial Resolutions Efficiently
ICD-10 & Other Coding Revisions to NCDs: July 2024 Update CR13507
Internet Only Manual Updates to Pub. 100-02 and 100-04 to Implement Consolidated Appropriations Act 2023 Changes for Skilled Nursing Facility (SNF) CR13271
January 2024 Update to the Ambulatory Surgical Center (ASC) Payment System
Limitation on Recoupment of Medicare Overpayments CR11808
Local Coverage Determination (LCD) Finalized - Effective April 1, 2024
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